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09-02-'11 14:30 FROM-nw permit 13609452091 T-775 P002/007 F-338 <br />I <br />i <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 9B201 <br />425-257-8810 - FAX 425-257.8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />SITE ADDRESS <br />PARCEL TAX I.D. R <br />PERMIT 0 <br />M °/ - 3 <br />1721 RAINIER AVE <br />00438835401200 <br />II l7 <br />LEGAL LOTNO. <br />13LOCK <br />TRACT <br />OE5C. <br />OWNER ADDRESS CITY/ZIP PHONE <br />NEENABLACKWELL 1721 RAINIER AVE Everett98201 425-252-7229 <br />TENANT NAME <br />CONTACT FOR PERMIT PHONE <br />INaida Khan 360-945-2787 <br />CONTRACTOR ` ESCO ADDRESS CITYaIP PHONE <br />VVC l.. 2800 Thorndyke SEATTLE 800-398-4663 <br />CONTR LICENSES WAS H I E S9710B <br />USE OF BUILDING <br />HEAT SOURCE <br />CONTRACT PRICE OF WORK <br />SFR I <br />Electric c _other <br />I $750 <br />WORK DESCRIPTION <br />REPLACE GAS WATER HEATER. <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />NO. TYPE OF FIXTURE OR ITEM <br />Toilet <br />_ <br />A/C- air handling units <br />_ <br />Bathtub <br />Forced air systems <br />Lavatory (wash basin) <br />_ <br />Gas piping <br />Shower <br />Water heater <br />Kitchen sink & disposal <br />Gas fireplace <br />_ <br />Dishwasher <br />Gas range <br />_ <br />Clothes washer <br />Clothes dryer <br />_ <br />Laundry tray <br />Range hood <br />_ <br />Sink(servicelbar/mop/etc.) <br />_ <br />Exhaust tan <br />_ <br />Backllow preventer <br />_ <br />Heal pump <br />_ <br />Urinal <br />_ <br />Unit heater <br />_ <br />_ <br />Drinking Fountain <br />_ <br />Boiler <br />Floordrain <br />_ <br />Refrigeration <br />_ <br />Grease trap <br />_ <br />Woodstove <br />_ <br />Roof drelns <br />Other <br />_ <br />Other <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerilify that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinaces governing this type of work will be complied With whether specified herein or not. The granting of a permit does not presume <br />to give authority to violate or cancel the provision of any other state or local law regulating construction or the performance of <br />construction. That I am authorized by the owner of this property to perform the work for which application is made and I comply with the <br />State Contractors Law 18.27 RCW and 296.200 WAC. <br />gnalure of Owner Contractor t orize Age t Date <br />I <br />